血管内治疗急性期破裂颅内动脉瘤的疗效观察

目的探讨血管内治疗急性期破裂颅内动脉瘤的安全性及有效性.方法回顾性分析74例颅内动脉瘤在破裂出血后72h内行血管内治疗临床资料.结果74例患者发病后均行CT检查,证实为蛛网膜下腔出血,并经全脑血管造影证实为颅内动脉瘤,共检出92枚动脉瘤,其中单发57例,2枚10例,3枚以上7例.72h内进行血管内栓塞治疗,术中根据动脉瘤的形状、大小选择合适的支架及微弹簧圈栓塞.92枚动脉瘤中,致密填塞81枚,瘤颈残余4枚,填塞不充分2例,未作栓塞处理（非重要动脉瘤）5枚.结论血管内治疗急性期破裂颅内动脉瘤安全有效,可作为其首选治疗方式.

Objective To study and explore the efficacy and safety of the endovascular embolization of ruptured intracranial aneurysms in the acute phase. Methods The clinical dates of 74 cases of the endovascular embolization of ruptured intracranial aneurysms in the acute phase were retrospectively analyses. All patients were confirmed as subarachnoid hemorrhage by CT examination,and were confirmed by cerebral angiography for intracranial aneurysms. All patients were underwent endovascular embolization within 72 hours after rupture,and the endovascular strategy were formulated according to the property of aneurysm. Results Total 92 aneurysms were detected in 74 patients,including solitary aneurysm in 57 cases, 2 aneurysms in 10 cases,3 and more aneurysms in 7 patients. 81 aneurysms were dense emblazed,and 4 aneurysm necks were exsited,2 aneurysms had a small exsited and not for embolization treatment（non-responsibility aneurysm）in 5 cases. Conclusion Endovascular treatment of ruptured intracranial aneurysms in the acute phase is very safe and effective,which should be as the first choice.